Our Experience Of Metastatic Lesion Of Lymph Node Diagnosed By Fine Needle Aspiration Cytology
Our Experience Of Metastatic Lesion Of Lymph Node Diagnosed By Fine Needle Aspiration Cytology
Keywords:
FNAC, Lymph node, MetastasisAbstract
Background and Objectives: Fine needle aspiration cytology (FNAC) is a useful screening test.Diagnosis of metastatic lesion by FNAC is providing a clue to the clinicians to nature and site of primary. The aim of the present study is to highlight the role of FNAC of lymph nodes in the diagnosis of suspected and unsuspected lymph node malignancies. Methodology: Retrospective study of 80 cases of metastatic lymph nodes out of total 391 lymph nodes aspirated during the period of 1st July, 2013 to 31st June, 2014 was done. This study was carried out in cytology laboratory of Pathology Department of Dhiraj General Hospital, Piparia. FNAC of the enlarged lymph node was performed taking aseptic precautions. Results: Out of total 3070 cases of FNAC, 391 cases (12.93%) were of lymph nodes. Among these, there were a total of 80 nodes reported as “positive for metastasis†accounting for 20.46% of all lymph node FNACs and 2.60% of all FNAC cases.The most common subtype of metastatic malignant tumor was squamous cell carcinoma which includes 72.5% (58 cases) of the study population.Most common site affected by metastasis were cervical lymph nodes (77.5%) followed by supra clavicular lymph nodes (12.5%), axillary lymph nodes (7.5%), abdominal lymph nodes (1.25%), inguinal lymph nodes (1.25%) respectively. Conclusion: FNAC of lymph nodes is a very useful and simple tool in the diagnosis of lymph node malignancies. [Rathod G NJIRM 2015; 6(5):34-37]
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